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Updated: May 28, 2025

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Understanding the implementation process of the Adult Day Services Plus program.

Quinton D Cotton1,2, Dionne Bailey2, Elle Albers2,3

  • 1School of Social Work, University of Pittsburgh, Pittsburgh, USA.

BMC Geriatrics
|February 13, 2025
PubMed
Summary

The ADS Plus intervention shows high implementation potential for supporting dementia family caregivers in adult day services, demonstrating adaptability across diverse settings.

Keywords:
Alzheimer’s diseaseCaregivingCommunity-based long-term careDementiaImplementation scienceLong-term care

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Area of Science:

  • Gerontology
  • Public Health
  • Implementation Science

Background:

  • Limited evidence exists on implementing evidence-based interventions for dementia family caregivers to reduce caregiver depression and burden.
  • A national multi-site trial investigated the implementation of the ADS Plus intervention within adult day services (ADS).

Purpose of the Study:

  • To investigate the implementation success and challenges of embedding the ADS Plus intervention for dementia family caregivers in ADS settings.
  • To identify facilitators and barriers to the successful implementation of ADS Plus.

Main Methods:

  • A qualitative content analysis was conducted using the Consolidated Framework for Implementation Research.
  • Data were collected from caregiver (n=15) and staff (n=14) perceptions across nine ADS programs.

Main Results:

  • Successful ADS Plus delivery was facilitated by intervention adaptability, personalization, structure, responsiveness, marketability, aligned goals, practitioner connections, and addressing staff capacity.
  • Intervention adaptability supports implementation in varied programmatic settings.

Conclusions:

  • ADS Plus presents a viable community-based solution for supporting dementia family caregivers.
  • The intervention demonstrates high implementation potential in diverse adult day service settings.